Where babies happen

3146 Deming Way
Middleton, WI 53562

Phone: 608-824-0075 | Fax: 608-829-0748

Causes of Infertility

Fertility issues can be attributed to female factors 45% of the time, male factors 40% and unknown reasons 15% of the time.

Female factors can include:

  • Inability to ovulate or drop an egg each month
  • Factors that block the egg and sperm from uniting, such as scar tissue in the tubes (from endometriosis or old, healed infection)
  • Abnormalities of the uterus that can block the baby implanting, such as abnormal growths of muscle cells (fibroids) or gland cells (polyps) , or structural abnormalities from birth
  • Age of the egg

Male factors can include:

  • Low sperm count
  • Abnormal sperm shape
  • Decreased sperm movement

Common Tests

The following tests are often conducted to determine whether your fertility issues can be attributed to female or male factors or both.

Semen analysis:  examines the number, shape and swimming ability of the sperm

Day 3 FSH, AMH or Antral Follicle Count: determines the number of eggs remaining in women’s ovaries, it also indirectly measures the quality of the eggs

Ovulation detection: determines whether or not an egg is dropped in a given month. Tests include temperature charts, urine tests, and blood hormone exams.

Hysterosalpingogram: checks the shape of the inside of the uterus and whether or not fallopian tubes are completely open

Sonohysterogram: checks inside the uterus to look for abnormal muscle cell or gland cell growths

Laparoscopy: a minor surgery performed to look at the ovaries, fallopian tubes, uterus and inside of the pelvis. It is usually only performed if there is a history of a pelvic infection, endometriosis, or an abnormal hysterosalpingogram.

Other Tests

Thyroid test: normal thyroid tests are important for a baby’s brain development

Rubella (german measles) and Varicella (chicken pox): because these infections can hurt the baby, immunization is available before pregnancy

Blood type: because blood type incompatibility between a mother and child can result in problems in pregnancy

Genetic testing: we have the capability of determining if a couple is at risk for having a child with one of a number of fatal or debilitating childhood diseases.

Next Steps

Once you have completed all of the tests, we will sit down together to determine the best way to help you get pregnant. We will explain to you all of the results and the treatment options available to you. You can then make your decisions based upon what is best for you and your family. To learn more about the treatment options, please ask for “Treatment Options for Infertility.”